7 results
Janeway Lesion: Flat, painless, erythematous lesions seen on the palm of this patient's hand. While
frequently associated
with bacterial endocarditis ... Photo credit, Josh Fierer ... Clinical #Photo #Dermatology ... #SkinRash #Janeway ... #Lesions #Endocarditis
Janeway Lesions: Flat, painless, erythematous lesions seen on the palm of this patient's hand. Frequently
associated with
with bacterial endocarditis ... Photo credit, Josh Fierer ... Clinical #Photo #Dermatology ... #SkinRash #Janeway ... #Lesions #Endocarditis
Vasculitis: In this instance, the vasculitic skin lesions were secondary to Haemophilus endocarditis.
Photo credit, Josh Fierer,
vasculitic skin lesions ... Photo credit, Josh Fierer ... Clinical #Photo #Dermatology ... #SkinRash #Vasculitis ... #Endocarditis #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS ... pulmonary • Janeway lesions ... Leukocytosis, anemia ... or destructive lesion ... diagnosis #management #cardiology
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
hemorrhagic skin lesions ... DIC/TTP/HUS - Hemolytic ... anemia - Splenomegaly ... • Bacterial endocarditis ... #nonpalpable #dermatology
FROM JANE Mnemonic for Signs in Bacterial Endocarditis

F - Fever
R - Roth Spots (retinal hemorrhages, from
painful nodules on fingers ... ) J - Janeway lesions ... (non-painful lesions ... septic emboli) A - Anemia ... #Cardiology #PhysicalExam
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Hypercoagulable (APLAS ... Pulmonary • Janeway lesions ... Leukocytosis, anemia ... or destructive lesion ... Differential #Diagnosis #cardiology